JONAH COOPER – Certified Registered Nurse Anesthetist, NPI 1669291365

JONAH COOPER is a healthcare provider. based in Beaver falls, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN750796 (PA). The NPI Number for JONAH COOPER is 1669291365

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
JONAH COOPER
NPI
1669291365
Phone
(724) 312-8407
Address
116 HEBERLING ST
Enumeration Date
9 October 2024
Last Update Date
30 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083812222
Graduation Year
2024 (2 years ago)
PAC ID
9638699333
Group Practice PAC ID
2668385287
Professional Enrollment ID
I20250225002771
Address ID
ID837126241BO190XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID

Provider Addresses for JONAH COOPER

  • 116 HEBERLING ST

    BEAVER FALLS, PA 150101272

    Phone: (724) 312-8407

    Type: Mailing

  • 2537 W STATE ST STE 200

    BOISE, ID 837022200

    Phone: (208) 336-0895

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250225002771ICertified Registered Nurse Anesthetist (Crna)IDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15010)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668385287View full group profile
NameSpecialtyState
-ID
Certified Registered Nurse Anesthetist (Crna)SC
A N E S T H E S I O L O G YID
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)ID
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
-ID

Reviews

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Frequently asked questions

What NPI should I save for JONAH COOPER?
Save NPI 1669291365 if you need a stable reference for JONAH COOPER.
Does this profile mean JONAH COOPER is currently active?
Yes — JONAH COOPER appears active in the national provider directory.
Does JONAH COOPER list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for JONAH COOPER. Clinical services aligned with this taxonomy classification.
What location metadata exists for JONAH COOPER?
The page summarizes Beaver Falls, Pennsylvania for JONAH COOPER; expand the address list for detail.
Is JONAH COOPER a real provider?
This page reflects official NPPES data for NPI 1669291365. Always confirm identity and privileges with the practice and licensing boards.

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